Healthcare Provider Details

I. General information

NPI: 1407294101
Provider Name (Legal Business Name): EMILY ANN DOSIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18780 INTERSTATE 20
CANTON TX
75103-3593
US

IV. Provider business mailing address

18780 INTERSTATE 20
CANTON TX
75103-3593
US

V. Phone/Fax

Practice location:
  • Phone: 903-567-4841
  • Fax: 903-567-2818
Mailing address:
  • Phone: 903-567-4841
  • Fax: 903-567-2818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ7035
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: